Childs Name ______________________________ After School transportation location:* ____HOME ON BUS # _____ M
TH
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____PARENT PICK UP
TH
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____Wrap Around Care
TH
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____Other
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___I have checked that this information is consistent with the
information in place with LAMERS BUS LINE (262)679-8920. I understand that I must, first, contact LAMERS BUS LINE and second, Mary Linsmeier if any permanent changes need to be made.
sional changes to this information must be submitted IN
to your childs classroom teacher or called in promptly to Mary Linsmeier at 262-613-5286 Parent Signature:______________________________ Date Daytime phone number ______________________ Alternate phone number ______________________